ED and TRT Blood test results

[LaterBloomer]

Hello All, First a little information about me since I am new here.

I am 41 and for the past 2-3 years have done everything wrong lol. I stopped working out and cycles and just went to TRT. I had done about 5-6 cycles previously, read but still made mistakes. Recovered and then went on TRT.

I had never done blood work much which I should have. I understand that now. I was on TRT when I developed libido/ED issues. You can tell now it was high estrogen. I could see it in my face and body. I stopped trt for a few months with no good results then got back on a low dose (250mg a week of test e pinned once a week) and started taking an Anastrozole .5 every other day.

I have seen good results from that but lately I had ed issues so I started doing some updated research and realized, I am doing it all wrong. I have gained weight, I am drinking way too much and not working out enough and need blood work.
Fine, I changed all that. I am working out every day. I stopped drinking alcohol and am eating right. I am still a little overweight but I am working on this. I got my blood work back and could use some help interpreting it. I see for whatever reason it isn't telling me my fsh/lh levels that I can see but I can always go back and get that. I would expect them to be surpressed because of how high my test is.

Anyways, Does anything stick out to you as to a possible source of my e.d. issues and what I can do to help here? I am already taking .5 Ai every day and my estradial is a little high right even though it doesn't say that? And what about my prolactin level?
Tests Result Flag Units Reference Interval Lab
CBC With Differential/Platelet
WBC 9.9 x10E3/uL 3.4 - 10.8 01
RBC 5.60 x10E6/uL 4.14 - 5.80 01
Hemoglobin 18.2 High g/dL 13.0 - 17.7 01
Hematocrit 53.4 High % 37.5 - 51.0 01
MCV 95 fL 79 - 97 01
MCH 32.5 pg 26.6 - 33.0 01
MCHC 34.1 g/dL 31.5 - 35.7 01
RDW 13.9 % 12.3 - 15.4 01
Platelets 218 x10E3/uL 150 - 379 01
Neutrophils 63 % Not Estab. 01
Lymphs 22 % Not Estab. 01
Monocytes 12 % Not Estab. 01
Eos 2 % Not Estab. 01
Basos 0 % Not Estab. 01
Neutrophils (Absolute) 6.3 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 2.2 x10E3/uL 0.7 - 3.1 01
Monocytes(Absolute) 1.1 High x10E3/uL 0.1 - 0.9 01
Eos (Absolute) 0.2 x10E3/uL 0.0 - 0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01
Immature Granulocytes 1 % Not Estab. 01
Immature Grans (Abs) 0.1 x10E3/uL 0.0 - 0.1 01
Comp. Metabolic Panel (14)
Glucose 84 mg/dL 65 - 99 01
BUN 20 mg/dL 6 - 24 01
Creatinine 1.09 mg/dL 0.76 - 1.27 01
eGFR If NonAfricn Am 84 mL/min/1.73 >59
eGFR If Africn Am 97 mL/min/1.73 >59

BUN/Creatinine Ratio 18 9 - 20
Sodium 139 mmol/L 134 - 144 01
Potassium 4.4 mmol/L 3.5 - 5.2 01
Chloride 98 mmol/L 96 - 106 01
Carbon Dioxide, Total 26 mmol/L 18 - 29 01
Calcium 9.4 mg/dL 8.7 - 10.2 01
Protein, Total 7.0 g/dL 6.0 - 8.5 01
Albumin 4.8 g/dL 3.5 - 5.5 01
Globulin, Total 2.2 g/dL 1.5 - 4.5
A/G Ratio 2.2 1.2 - 2.2
Bilirubin, Total 0.3 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase 39 IU/L 39 - 117 01
AST (SGOT) 31 IU/L 0 - 40 01
ALT (SGPT) 70 High IU/L 0 - 44 01
Lipid Panel w/ Chol/HDL Ratio
Cholesterol, Total 186 mg/dL 100 - 199 01
Triglycerides 177 High mg/dL 0 - 149 01
HDL Cholesterol 40 mg/dL >39 01
VLDL Cholesterol Cal 35 mg/dL 5 - 40
LDL Cholesterol Calc 111 High mg/dL 0 - 99
T. Chol/HDL Ratio 4.7 ratio units 0.0 - 5.0
Please Note: 01
T. Chol/HDL Ratio
Men Women
1/2 Avg.Risk 3.4 3.3
Avg.Risk 5.0 4.4
2X Avg.Risk 9.6 7.1
3X Avg.Risk 23.4 11.0
Testosterone, Free+Total LC/MS
Testosterone, Total, LC/MS 1391.7 High ng/dL 264.0 - 916.0 02
This LabCorp LC/MS-MS method is currently certified by the CDC
Hormone Standardization Program (HoSt). Adult male reference
interval is based on a population of healthy nonobese males
(BMI <30) between 19 and 39 years old. Travison, et.al. JCEM
2017,102;1161-1173. PMID: 28324103.
Disclaimer: 02
This test was developed and its performance characteristics
determined by LabCorp. It has not been cleared or approved
by the Food and Drug Administration.
Free Testosterone(Direct) 39.7 High pg/mL 6.8 - 21.5 02
Prolactin 10.3 ng/mL 4.0 - 15.2 01
Estradiol, Sensitive 25.1 pg/mL 8.0 - 35.0 02
Sex Horm Binding Glob, Serum 11.0 Low nmol/L 16.5 - 55.9 01

[kelkel]

Lots of mistakes / issues here Latebloomer. First, you never need to pull LH/FSH values when on exogenous testosterone as your pituitary (HPTA) is shut down as is your testicular function. Second, 250 mgs per week is really not TRT, it's closer to a low dose cycle which your blood work shows. Assuming you pulled bloodwork almost a week after your injection, but before the next injection you see that your total test is still at 1391. This means that a day or two after injection your total test level is arguably cose to 2000.

The excessive amount of test is now causing your problems with your hemoglobin and hematocrit values. Meaning your blood is thickening (polycythemia) which can lead to a host of issues including an increased risk for blood clots. Now, couple that with your cholesterol values, particularly your triglycerides. A good way to determine cardiac risk is to divide your triglycerides by your HDL. The goal is to be around 2 or less. Do the math here, you won't like your result.

Now add in an exceptionally low SHBG value. This is partially caused by your larger dose of test as more test = more suppression of shbg. That said, it's an indicator of metabolic syndrome. Google it and you'll see why I mention this.

Your elevated ALT (liver value) can be due to many things but one main one is simply muscular trauma from working out. This can elevate it several times over for multiple days. Hoping that's the issue here.

When it comes to your Estrogen level at least you got the correct test. Your current level is just fine which amazes me since you're taking .5 adex daily, which is more than many guys use when running a gram of test during a cycle.

When it comes to your ED issue. It could be several of the things I mentioned and I don't know how you'd pinpoint it. My immediate recommendation would be (other than seeing a doctor) to at least drop your dose down to 150 mgs and split your injections to 75 mgs x 2 per week. Along with this you will need to lower your AI dose as well. A thought/guess would be to go with .5 M-W-F and pull basic BW to check levels in about 4 weeks. It may take a few sets of BW to get yourself dialed in at your new dose. E2 is always better a little higher than lower imho. Adding in HCG at 250 IU's x 2 per week on injection days will be a big plus and may benefit your libido and sense of well being as well.

I'd also consider a solid supplement protocol to help with your cholesterol issues. Read this as it may give you some ideas:

https://forums.steroid.com/hormone-r...xperiment.html

I'm sure I probably missed something. Be patient as other guys will chime in so keep checking back.

Welcome to the forum.

[LaterBloomer]

That is really great feedback.

I think what it's also telling me is that perhaps its time to ween my body slowly off trt for a little bit and let things recover and normalize. Maybe go the lower dose for a month, do blood work then get on a pct. Ive done this before some years ago but it wasn't so out of whack.

I am going to take your advice on lowering the test e and the twice a week along with the ai suggestion. I think that shows you how high my estrogen may have been.

I think the cholesterol is just how ive been eating so much crap. I am already on blood pressure medicine.

[kelkel]

Well, normally if someone goes off TRT they just return to their original poor levels which serves no purpose. Were your levels poor before you started self-injecting?

[LaterBloomer]

Nah, they weren't too bad. They were on the low end of the normal spectrum. When I got on TRT i was amazed at how much better I felt and how much more I wanted to work out. I did do that and got addicted to how much better I looked and felt and took it upon myself to start reading about upping the game on my own and doing cycles. Made a lot of mistakes there without experience and wisdom. lol the low point was deca dick some years ago. Low test got me back..i could have just stopped cold numerous times and I did a few times..did blood work and my levels evened out but my doctor is by no means an expert on any of this..I think he was just looking for the basic male ed or sexual hormone test and once those levels returned to normal he was like ok, you check out.

To me, this time, I am just going to take it slow. Ill lower my dose as recommended and do the AI with blood work in a month. I am not really sure what test I should go for other than estrodial? I could see myself eventually getting off it though. I just want to be healthy again. Most of this started after my wife and I divorced. I kept self injecting at the dose I described earlier but stopped working out and got some good belly fat along with poor eating habits and drinking a lot. Im over that hump now. No more test cycles for me so im either going to coast along if I can get my trt back under control or Im going to bow out and keep a healthy lifestyle.

[kelkel]

Take a look at www.discountedlabs.com and www.privatemdlabs.com. They have blood work packages set up which may work for you. You do not need a script, it's cheap and you can use Labcorp.

Exactly what to check for depends on what you're doing / changing. If titrating your T and AI dose down simply get a hormone panel but make sure you get a Sensitive Estrogen Assay, not standard estradiol as it's not accurate.

Don't forget to donate blood as well to lower your hematocrit. Take this seriously. Hydrate well, take a baby aspirin at bed time. Also, if you've never given blood before don't get tricked by some of their questions. In other words, don't admit to injections. Not worth it.